Paciente masculino de 38 años de edad con cirrosis hepática descompensada.
The present clinical case deals with a 38 year old male patient with decompensated cirrhosis of the liver who attended the medical consultation due to fatigue, dizziness, jaundice, difficulty walking, drowsiness, edema in the lower limbs and abdominal distention. He indicates not having a personal p...
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| Formato: | bachelorThesis |
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2020
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| Acceso en liña: | http://dspace.utb.edu.ec/handle/49000/8917 |
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| author | Prado López, Rody Joao |
| author_facet | Prado López, Rody Joao |
| author_role | author |
| collection | Repositorio Universidad Técnica de Babahoyo |
| dc.contributor.none.fl_str_mv | Chuquimarca Chuquimarca, Rosario del Carmen |
| dc.creator.none.fl_str_mv | Prado López, Rody Joao |
| dc.date.none.fl_str_mv | 2020-10-20T18:31:02Z 2020-10-20T18:31:02Z 2020 |
| dc.format.none.fl_str_mv | 38 p. application/pdf |
| dc.identifier.none.fl_str_mv | http://dspace.utb.edu.ec/handle/49000/8917 |
| dc.language.none.fl_str_mv | es |
| dc.publisher.none.fl_str_mv | Babahoyo: UTB-FCS, 2020 |
| dc.rights.none.fl_str_mv | Atribución-NoComercial-SinDerivadas 3.0 Ecuador http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:Repositorio Universidad Técnica de Babahoyo instname:Universidad Técnica de Babahoyo instacron:UTB |
| dc.subject.none.fl_str_mv | Cirrosis Hepática descompensada Hipercolesterolemia Hipertrigliceridemia Hiperamonemia Hipo proteica Hiperbilirrubinemia |
| dc.title.none.fl_str_mv | Paciente masculino de 38 años de edad con cirrosis hepática descompensada. |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/bachelorThesis |
| description | The present clinical case deals with a 38 year old male patient with decompensated cirrhosis of the liver who attended the medical consultation due to fatigue, dizziness, jaundice, difficulty walking, drowsiness, edema in the lower limbs and abdominal distention. He indicates not having a personal pathological history and is also an alcoholic, smoker 10 cigarettes a day. A nutritional intervention is carried out with the aim of avoiding the progression of complications in the patient with decompensated liver cirrhosis through the nutritional care process. In the anthropometric evaluation we have a weight of 60kg and a height of 169 cm, abdominal circumference 116 cm which reflects a normal nutritional status according to the WHO with a BMI of 18.94 kg / m2. Regarding the biochemical evaluation, an alteration of the lipid profile is evidenced with high values, serum proteins within the limit, elevated liver enzymes, hyperbilirubinemia, hyperammonemia, all these altered data are the product of decompensation of liver cirrhosis. A 2300 kcal diet is prescribed, hypoprotein for 48 h, divided into 5 meal times, moderate volume, warm temperature and a contribution of 25g fiber. The progression of complications was prevented through the nutritional care process. A control of the dietary plan is maintained, according to the follow-up it was observed that, through the assessment, diagnosis and nutritional intervention, the patient presents favorable changes in terms of his pathological condition and nutritional status. |
| eu_rights_str_mv | openAccess |
| format | bachelorThesis |
| id | UTB_5ea35be373723eaec77a280e84f4af17 |
| instacron_str | UTB |
| institution | UTB |
| instname_str | Universidad Técnica de Babahoyo |
| language_invalid_str_mv | es |
| network_acronym_str | UTB |
| network_name_str | Repositorio Universidad Técnica de Babahoyo |
| oai_identifier_str | oai:dspace.utb.edu.ec:49000/8917 |
| publishDate | 2020 |
| publisher.none.fl_str_mv | Babahoyo: UTB-FCS, 2020 |
| reponame_str | Repositorio Universidad Técnica de Babahoyo |
| repository.mail.fl_str_mv | . |
| repository.name.fl_str_mv | Repositorio Universidad Técnica de Babahoyo - Universidad Técnica de Babahoyo |
| repository_id_str | 0 |
| rights_invalid_str_mv | Atribución-NoComercial-SinDerivadas 3.0 Ecuador http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ |
| spelling | Paciente masculino de 38 años de edad con cirrosis hepática descompensada.Prado López, Rody JoaoCirrosis Hepática descompensadaHipercolesterolemiaHipertrigliceridemiaHiperamonemiaHipo proteicaHiperbilirrubinemiaThe present clinical case deals with a 38 year old male patient with decompensated cirrhosis of the liver who attended the medical consultation due to fatigue, dizziness, jaundice, difficulty walking, drowsiness, edema in the lower limbs and abdominal distention. He indicates not having a personal pathological history and is also an alcoholic, smoker 10 cigarettes a day. A nutritional intervention is carried out with the aim of avoiding the progression of complications in the patient with decompensated liver cirrhosis through the nutritional care process. In the anthropometric evaluation we have a weight of 60kg and a height of 169 cm, abdominal circumference 116 cm which reflects a normal nutritional status according to the WHO with a BMI of 18.94 kg / m2. Regarding the biochemical evaluation, an alteration of the lipid profile is evidenced with high values, serum proteins within the limit, elevated liver enzymes, hyperbilirubinemia, hyperammonemia, all these altered data are the product of decompensation of liver cirrhosis. A 2300 kcal diet is prescribed, hypoprotein for 48 h, divided into 5 meal times, moderate volume, warm temperature and a contribution of 25g fiber. The progression of complications was prevented through the nutritional care process. A control of the dietary plan is maintained, according to the follow-up it was observed that, through the assessment, diagnosis and nutritional intervention, the patient presents favorable changes in terms of his pathological condition and nutritional status.The present clinical case deals with a 38 year old male patient with decompensated cirrhosis of the liver who attended the medical consultation due to fatigue, dizziness, jaundice, difficulty walking, drowsiness, edema in the lower limbs and abdominal distention. He indicates not having a personal pathological history and is also an alcoholic, smoker 10 cigarettes a day. A nutritional intervention is carried out with the aim of avoiding the progression of complications in the patient with decompensated liver cirrhosis through the nutritional care process. In the anthropometric evaluation we have a weight of 60kg and a height of 169 cm, abdominal circumference 116 cm which reflects a normal nutritional status according to the WHO with a BMI of 18.94 kg / m2. Regarding the biochemical evaluation, an alteration of the lipid profile is evidenced with high values, serum proteins within the limit, elevated liver enzymes, hyperbilirubinemia, hyperammonemia, all these altered data are the product of decompensation of liver cirrhosis. A 2300 kcal diet is prescribed, hypoprotein for 48 h, divided into 5 meal times, moderate volume, warm temperature and a contribution of 25g fiber. The progression of complications was prevented through the nutritional care process. A control of the dietary plan is maintained, according to the follow-up it was observed that, through the assessment, diagnosis and nutritional intervention, the patient presents favorable changes in terms of his pathological condition and nutritional status.El presente caso clínico trata de un paciente de sexo masculino con 38 años de edad que presenta cirrosis hepática descompensada que acude a la consulta médica por presentar fatiga, mareo, ictericia, dificultad para caminar, somnolencia, edema en los miembros inferiores y distención abdominal, indica no tener antecedentes patológicos personales y además es alcohólico, fumador 10 cigarrillos al día. Se realiza una intervención nutricional con el objetivo de evitar la progresión de las complicaciones en el paciente con cirrosis hepática descompensada a través del proceso de atención nutricional. En la evaluación antropométrica tenemos un peso de 60kg y una talla de 169 cm, circunferencia abdominal 116 cm la cual nos refleja un estado nutricional normal según la OMS con un IMC de 18.94 kg/m2. En cuanto a la evaluación bioquímica se evidencia alteración del perfil lipídico con valores elevados, proteínas séricas dentro del límite, enzimas hepáticas elevadas, hiperbilirrubinemia, hiperamonemia, todos estos datos alterados son producto de la descompensación de la cirrosis hepática. Se prescribe una dieta de 2300 kcal, hipo proteico por 48 h, fraccionada en 5 tiempos de comida, volumen moderado, temperatura templada y aporte de 25g fibra. Se evitó la progresión de las complicaciones mediante el proceso de atención nutricional. Se mantiene un control del plan dietético que según el seguimiento se observó que, a través de la valoración, diagnostico e intervención nutricional el paciente presenta cambios favorables en cuanto a su condición patológica y estado nutricional.Babahoyo: UTB-FCS, 2020Chuquimarca Chuquimarca, Rosario del Carmen2020-10-20T18:31:02Z2020-10-20T18:31:02Z2020info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesis38 p.application/pdfhttp://dspace.utb.edu.ec/handle/49000/8917esAtribución-NoComercial-SinDerivadas 3.0 Ecuadorhttp://creativecommons.org/licenses/by-nc-nd/3.0/ec/info:eu-repo/semantics/openAccessreponame:Repositorio Universidad Técnica de Babahoyoinstname:Universidad Técnica de Babahoyoinstacron:UTB2022-02-08T08:12:13Zoai:dspace.utb.edu.ec:49000/8917Institucionalhttp://dspace.utb.edu.ec/Universidad públicahttps://utb.edu.ec/http://dspace.utb.edu.ec/oai.Ecuador...opendoar:02026-02-28T22:20:43.633921Repositorio Universidad Técnica de Babahoyo - Universidad Técnica de Babahoyotrue |
| spellingShingle | Paciente masculino de 38 años de edad con cirrosis hepática descompensada. Prado López, Rody Joao Cirrosis Hepática descompensada Hipercolesterolemia Hipertrigliceridemia Hiperamonemia Hipo proteica Hiperbilirrubinemia |
| status_str | publishedVersion |
| title | Paciente masculino de 38 años de edad con cirrosis hepática descompensada. |
| title_full | Paciente masculino de 38 años de edad con cirrosis hepática descompensada. |
| title_fullStr | Paciente masculino de 38 años de edad con cirrosis hepática descompensada. |
| title_full_unstemmed | Paciente masculino de 38 años de edad con cirrosis hepática descompensada. |
| title_short | Paciente masculino de 38 años de edad con cirrosis hepática descompensada. |
| title_sort | Paciente masculino de 38 años de edad con cirrosis hepática descompensada. |
| topic | Cirrosis Hepática descompensada Hipercolesterolemia Hipertrigliceridemia Hiperamonemia Hipo proteica Hiperbilirrubinemia |
| url | http://dspace.utb.edu.ec/handle/49000/8917 |